MEDICARE: DAVID MICHAEL DURANTE BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1825	TN

General Provider Information

NPI Number	:	1609662097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MICHAEL DURANTE BCBA

Provider Business Mailing Address
First Line	:	303 OAK GROVE AVE
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-3911
Country	:	US
Telephone Number	:	423-895-3417
Fax Number	:	423-295-8909

Provider Business Practice Location Address
First Line	:	110 SPENCER ST
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-3822
Country	:	US
Telephone Number	:	423-895-3417
Fax Number	:	423-295-8909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	06/02/2026

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Directions to “ DAVID MICHAEL DURANTE BCBA” Practice Location

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